HCAI 5313 – Economic Aspects of
Health Care Administration
Course Homepage
Dr. Edward Schumacher
Spring 2007

Office: Chapman
402
Phone: 210.999.8137
Fax: 210.999.8108
email: eschumac@trinity.edu
Office Hours: M W 2-4, T TH 10-11or by appointment
Home Page:www.trinity.edu/eschumac
Course Syllabus
Lecture Notes
Copies of the Papers
Homework Assignments
Policy Brief Examples
Policy
Brief Files
Jay St. Pierre
Mary
Deborah
Jay Duty
Pete
John
Danielle Danielle rankings.doc
Danielle
WorldStats.xls
Russell
Matt
Lecture Notes.
1.
On Campus Sessions:
Lecture Notes Part 1
Lecture Notes Part 2
Readings for On Campus Discussion:
A
Surprising Secret to a Long Life Stay in School - New York Times
New Yorker
Magazine: The Moral Hazard Myth
Haislmaier,
Edmond F. and Nina Owcharenko. “The Massachusetts Approach: A New Way to
Restructure State Health Insurance Markets and Public Programs,” Health
Affairs, 25(6) November/December 2006, 1580-1590.
2. Teleconferences
Teleconference
1: Lecture Notes
Articles for Discussion
New
York Times: Experts See Peril in Bush Health Proposal
Wall
Street Journal: As Health Middlemen Thrive, Employers Try to Tame Them
Wall
Street Journal Give Us Your Sick
Wall
Street Journal: In Medicaid, Private HMOs Take a Big, and Profitable, Role
Wall
Street Journal: In Health Care -- Consumer Theory Falls Flat
Teleconference
2: Lecture Notes
Articles for Discussion
New
York Times: To Lower Costs, Hospitals Try Free Basic Care for Uninsured
Time
Magazine: The Hospital Wars
March 17th
Teleconference 3: Lecture Notes:
Articles for Discussion
Wall
Street Journal: Merck Gives Glimpse at Its Drug Pipeline
New
York Times: Bridling at Insulin’s Cost, States Push for Generics
Wall
Street Journal: Selling Generic Drugs by Mail Turns Into Lucrative Business
April
7th Teleconference 4: Lecture Note
Articles for Discussion
Nursing
shortage easing, HCA told; many disagree
Schools
must turn away qualified would-be nurses
Copies of the Class Papers.
The following papers are in pdf
format.
Required:
Haislmaier,
Edmond F. and Nina Owcharenko. “The Massachusetts Approach: A New Way to
Restructure State Health Insurance Markets and Public Programs,” Health
Affairs, 25(6) November/December 2006, 1580-1590.
Robinson,
James C. “The Commercial Health Insurance Industry in an Era of Eroding
Employer Coverage,” Health Affairs, 25(6) November/December 2006,
1475-1486.
Darling, Helen.
“Employment-Based Health Benefits and Public-Sector Coverage: Opportunity for
Leadership,” Health Affairs, 25(6) November/December 2006, 1487-1489.
Gold, Marsha.
“Commercial Health Insurance: Smart of Simply Lucky?” Health Affairs,
25(6) November/December 2006, 1490-1493.
Hurley, Robert. “Real
Health Plans Manage Care,” Health Affairs, 25(6) November/December 2006,
1494-1496.
Reinhardt,
Uwe E. “The Pricing of US Hospital Services: Chaos Behind a Veil of Secrecy,” Health
Affairs, 25(1) January/February 2006, 57-69.
Grabowski,
Henry G. and Y. Richard Wang. “The Quantity and Quality of Worldwide New Drug
Introductions, 1982-2003,” Health Affairs,
25(2) March/April 2006, 452-460.
Rodwin,
Marc A., Hak J. Chang, and Jeffrey Clausen. “Malpractice Premiums and
Physicians’ Income: Perceptions of a Crisis Conflict with Empirical Evidence,” Health Affairs, 25(3), May/June 2006,
750-758.
Others:
Altman,
Stuart H., David Shactman, and Efrat Eilat. “Could US Hospitals go the Way of
US Airlines?” Health Affairs, 25(1)
January/February 2006, 11-21.
Cunningham,
Peter J. “What Accounts for Differences in the Use of Hospital Emergency
Departments Across US Communities?” Health
Affairs, Web Exclusive July 18, 2006,
Dobson,
Allen, Joan DaVanzo and Namrata Sen. “The Cost-Shift Payment ‘Hydraulic’:
Foundation, History, and Implications,” Health
Affairs, 25(1), January/February 2006, 22-32.
Enthoven,
Alain C., and Victor R. Fuchs. “Employment-Based Health Insurance: Past,
Present, and Future,” Health Affairs,
25(6), November/December 2006, 1538-1547.
Greenwald, Leslie,
et al. “Specialty Versus Community Hospitals: Referrals, Quality and Community
Benefits,” Health Affairs, 25(1), January/February 2006, 106-118.
Keenan,
Patricia Seliger, David Cutler, and Michael Chernew, “The ‘Graying’ of Group
Health Insurance,” Health Affairs,
25(6), November/December 2006, 1497-1506.
Remler,
Dahlia K. and Sherry A. Glied. “How Much more Cost Saring Will Health Savings
Accounts Bring?” Health Affairs,
25(4), July/August 2006, 1070-1078.
Homework Assignments
Homework 1
Journal Article
Review:
Robinson,
James C. “The Commercial Health Insurance Industry in an Era of Eroding
Employer Coverage,” Health Affairs, 25(6) November/December 2006,
1475-1486.
Darling, Helen.
“Employment-Based Health Benefits and Public-Sector Coverage: Opportunity for
Leadership,” Health Affairs, 25(6) November/December 2006, 1487-1489.
Gold, Marsha.
“Commercial Health Insurance: Smart of Simply Lucky?” Health Affairs,
25(6) November/December 2006, 1490-1493.
Hurley, Robert. “Real
Health Plans Manage Care,” Health Affairs, 25(6) November/December 2006,
1494-1496.
Homework 2
Journal Article
Review:
Reinhardt,
Uwe E. “The Pricing of US Hospital Services: Chaos Behind a Veil of Secrecy,” Health
Affairs, 25(1) January/February 2006, 57-69.
Homework 3
Journal Article
Review:
Grabowski,
Henry G. and Y. Richard Wang. “The Quantity and Quality of Worldwide New Drug
Introductions, 1982-2003,” Health Affairs,
25(2) March/April 2006, 452-460.
Homework 4
Newspaper
articles to go with the two homework questions:
Wall
Street Journal: Pharmacy-Benefit Firms Profit on Generic Drugs
Wall
Street Journal: Selling Generic Drugs by Mail Turns Into Lucrative Business
Wall
Street Journal: As Health Middlemen Thrive, Employers Try to Tame Them
Journal
Article Review:
Rodwin,
Marc A., Hak J. Chang, and Jeffrey Clausen. “Malpractice Premiums and Physicians’
Income: Perceptions of a Crisis Conflict with Empirical Evidence,” Health Affairs, 25(3), May/June 2006,
750-758.
Policy Brief
Examples
Private NFP as Safety Net
Physician Shortages
Specialty Hospitals
Palliative
Care
CON
Some
Hospitals Call 911 to Save Their Patients - New York Times.htm
With
a Quirk in Visa Law, Small Towns Lose Doctors - WSJ_com.htm
Abolishing
the Middlemen Won’t Make Health Care a Free Lunch - New York Times.htm